Reza Rasouli
Infectious Disease
1665 Scenic Ave Ste # 100
Costa Mesa
, California 92626-1445
Reza Rasouli
Infectious Disease
1665 Scenic Ave Ste # 100
Costa Mesa
, California 92626-1445
(714) 436-4444
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Reza Rasouli
- 1665 Scenic Ave Ste # 100
- Costa Mesa, CA
- Zip : 92626-1445
- Phone : (714) 436-4444
Second Address
- Reza Rasouli
- 1665 Scenic Ave Ste # 100
- Costa Mesa, CA
- Zip : 92626-1445
- Phone : (714) 436-4444
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RI0200X | Infectious Disease | 40509 | TN |
National Provider Identifier
| NPI | 1053395731 |
|---|---|
| Provider Name | Reza Rasouli |
| First Address | Costa Mesa, CA 92626-1445 |
| Second Address | Costa Mesa, CA 92626-1445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 30/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 42346 | (05) | LA |
| H68078 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.